Organization
CALHOUN COUNTY COMMITTEE ON AGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK D POLING (EXECUTIVE DIRECTOR)
(304) 354-7017
Entity
Organization
Contact information
Practice address
105 MARKET STREET, GRANTSVILLE, WV 26147
(304) 354-7017
Mailing address
105 MARKET STREET, GRANTSVILLE, WV 26147
(304) 354-7017
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
10359463
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0030566000
—
WV
Enumeration date
10/16/2014
Last updated
12/29/2020
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